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General NPI Number Information
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NPI Number | 1093137663
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Entity Type | Organization
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Legal Business Name | DR LAFFERS PAIN RELIEF CENTER
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Dates
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Enumeration Date | 01/15/2014
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Last Update Date | 01/20/2014
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Provider Practice Location Address
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Address Line | 257A COMMERCIAL BLVD
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City | LAUDERDALE BY THE SEA
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State | FL
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Zip | 33308-4442
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Country | US
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Telephone | 954-783-2025
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Fax |
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Provider Business Mailing Address
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Address Line | 257A COMMERCIAL BLVD
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City | LAUDERDALE BY THE SEA
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State | FL
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Zip | 33308-4442
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Country | US
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Telephone | 954-783-2025
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. SAMUEL LAFFER
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Credential | A.P., O.M.D.
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Telephone | 954-783-2025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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